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The Manager, Revenue Cycle Management (RCM) will build, lead, and scale the RCM function for Babylist Health — ensuring timely, accurate, and compliant reimbursement for durable medical equipment (DME) and other healthcare services. Reporting to the Vice President of Health & Support, this leader will oversee all aspects of the billing and collections lifecycle, drive efficiency and accuracy, and manage a team of RCM professionals focused on delivering an excellent patient financial experience.
Job Responsibility:
Lead end-to-end revenue cycle operations including charge entry, claims submission, payment posting, denial management, and AR follow-up
Establish quality controls, monitor key metrics (days in AR, denial rates, clean claim rates), and prevent backlogs to ensure timely reimbursements within filing deadlines
Build, manage, and develop a high-performing team of RCM professionals
Create a culture of accountability and continuous improvement through clear goals, mentorship, and data-driven decision-making
Serve as the primary point of contact and voice of Babylist with key insurance providers and partners
Develop and implement scalable workflows for claims management, payer recoupments, and patient billing
Ensure compliance with regulatory requirements (HIPAA, CMS) and optimize EDI performance through clearinghouses and payer portals
Partner cross-functionally with Finance, Product, Engineering, Clinical Operations, and Customer Support to forecast cash flow, identify revenue opportunities, and design automated tools
Drive the adoption of technology and AI to automate routine processes, improve claims accuracy, and build scalable systems
Establish operational mechanisms, SLAs, and observability metrics to build a disciplined, scalable foundation for growth
Requirements:
7+ years of experience in healthcare revenue cycle management
At least 5 years managing RCM or billing operations teams
Proven expertise in DME billing and payer management including claims submission, denial analysis, appeals, and reimbursement workflows
Deep knowledge of insurance provider requirements, EDI file types, and compliance frameworks (HIPAA, CMS)
Experience implementing or optimizing RCM systems such as Brightree, Niko Health, or similar DME billing software
Data-driven leader with strong analytical and process improvement skills
Proficient with Excel and/or BI reporting tools
Exceptional communicator who can translate technical billing issues into cross-functional strategies
Collaborative, hands-on leader who inspires trust, accountability, and performance across distributed teams
Strong operational discipline with the ability to establish SLAs, observability metrics, and scalable processes
Self-directed problem-solver who seeks to understand the 'why' behind processes and can navigate ambiguity
Comfortable and enthusiastic about working in an AI-forward environment where AI tools are part of daily operations
Embraces using technology to enhance work while keeping people at the center
What we offer:
Competitive salary with equity and bonus opportunities
Company-paid medical, dental, and vision insurance
Retirement savings plan with company matching and flexible spending accounts
Generous paid parental leave and PTO
Remote work stipend to set up your office
Perks for physical, mental, and emotional health, parenting, childcare, and financial planning
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